Indian River Foot & Ankle, Pa

LBN: Indian River Foot & Ankle, Pa
Indian River Foot & Ankle, Pa is an health care organization with primary practice located at 1424 Us Highway 1 Suite A, Sebastian FL 32958-1619. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as the primary health care specialty. Indian River Foot & Ankle, Pa can be contacted via phone (772) 589-3110, or through Haile, David J via phone (772) 589-3110.

Contact Information

Primary practice address
1424 Us Highway 1 Suite A Sebastian FL 32958-1619
Phone: (772) 589-3110
Fax: (772) 388-1929
Website:
Map and Directions
Authorized official contact:
Name: Haile, David J Doctor of Podiatric Medicine (DPM)
Phone: (772) 589-3110

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X

Profile Details

NPI number 1942390182
LBN Legal business name Indian River Foot & Ankle, Pa
DBA Doing business as
Authorized official Haile, David J Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 16th, 2006
Last updated Apr 1st, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942390182 NPPES
Florida MEDICAID 390266800

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